Advanced Eye Centre, PGIMER, Chandigarh, India.
Indian J Ophthalmol. 2018 Apr;66(4):593-595. doi: 10.4103/ijo.IJO_695_17.
A 36-year-old immunocompetent man developed endogenous endophthalmitis 1 week after intravenous fluid infusion in a rural setting. Large submacular abscess with posterior hypopyon warranted urgent vitrectomy which revealed Aspergillus terreus on fungal culture. Intravitreal and oral antifungals lead to resolution of inflammation with satisfactory anatomic outcome but poor visual outcome due to submacular scar.
一名 36 岁免疫功能正常的男性,在农村地区静脉补液 1 周后发生内源性眼内炎。大的黄斑下脓肿伴后下方积脓,需要紧急玻璃体切除术,真菌培养显示为土曲霉。玻璃体腔内和口服抗真菌药物治疗使炎症消退,解剖结果满意,但由于黄斑下瘢痕导致视力预后不良。